Private Health Insurance (Prostheses) Amendment Rules 2013 (No. 3)ˡ
I, DOUG FAWNS, delegate of the Minister for Health, make these Rules under item 4 of the table in section 333-20 of the Private Health Insurance Act 2007.
Doug Fawns
Doug Fawns
Assistant Secretary
Private Health Insurance Branch
Medical Benefits Division
Department of Health and Ageing
2 April 2013
Contents
PART 1 PRELIMINARY
1. Name of Rules 3
2. Commencement 3
3. Amendment of the Private Health Insurance (Prostheses) Rules 2012 (No. 2) 3
SCHEDULE – AMENDMENTS 3
Part 1 Preliminary
1. Name of Rules
These Rules are the Private Health Insurance (Prostheses) Amendment Rules 2013
(No. 3).
2. Commencement
These Rules commence on 9 April 2013.
3. Amendment of the Private Health Insurance (Prostheses) Rules 2012 (No. 2)
The Schedule amends the Private Health Insurance (Prostheses) Rules 2012 (No. 2).
Schedule – Amendments
Part A of the Schedule to the Private Health Insurance (Prostheses) Rules 2012 (No. 2) is amended as follows:
[1] Subgroup 6.2.4.12, Standard humeral head, after entry for billing code MA448
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit
1
OH386
VAIOS Humeral Head
Humeral Head
42-54mm
$1,327.00
[2] Subgroup 6.2.4.14, Humeral cup, after entry for billing code EX048
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit
1
OH390
VAIOS Reverse Humeral Insert
Reverse Humeral Insert
+0/+6 mm
$815.00
[3] Subgroup 6.2.4.5, Modular humeral component – metaphyseal, uncemented, after entry for billing code MA481
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit
1
OH387
VAIOS humeral neck
Humeral Neck
One size
$2,580.00
[4] Subgroup 6.2.4.9, Modular component – diaphyseal, uncemented, short (≤220mm), after entry for billing code LC043
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit
1
OH388
VAIOS Humeral Stem
Humeral Stem
8-16 mm
$2,800.00
[5] Subgroup 6.2.5.1, Glenoid component, All poly, after entry for billing code MA450
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit
1
OH385
VAIOS Cemented Glenoid
Cemented Glenoid
Sm & Lg
$1,995.00
[6] Subgroup 6.2.5.2, Glenoid component, Metal backed, after entry for billing code LC038
delete the subheading “Orthotech Pty Ltd”
delete the contents of items 1 & 2 of the table from the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit
1
OH383
VAIOS Glenoid Metal Back
Glenoid Metal Back
Sm & Lg
$2,220.00
2
OH389
VAIOS Humeral Metal Back
Reverse Humeral Metal Back
One size
$2,220.00
[7] Subgroup 6.2.5.4, Glenoid insert, after entry for billing code LC039
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit
1
OH384
VAIOS Glenoid Insert
Glenoid Insert
Sm & Lg
$1,960.00
[8] Subgroup 6.2.5.6, Glenosphere, after entry for billing code MA533
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit
1
OH391
VAIOS Glenoid Dome
Glenoid Dome
0, 1.5 mm
$2,290.00
[9] Subgroup 6.3.4.2, Small (2.71 mm – 4.49 mm), after entry for billing code OU036
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit
1
OH392
VAIOS Locking screw
Locking screw
One size
$91.00
Note
1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See www.comlaw.gov.au.